Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

I have a question to ask Child Psychologists. It seems that

Hello, I have a question...

Hello, I have a question to ask Child Psychologists. It seems that my 3-years old daughter has shown some bahavior similar to "selective mutism" after I consulting the speech therapist.   She can speak well with family members in home setting. However, She chooses not speak usually in a non-home setting when non-family members are around, e.g. daycare. She also chooses not speaking even when parents are around in a public place like shopping mall.

Please advise what we have done wrong, what has happened to my duaghter, and most importantly what we as parents can do to mitigate this behavoir so that she can feel comfortable to talk in non-home setting and becomes a happy child. Every evening when I pick her up from daycase and go home, she gradually changes her behavior like ice without speech to a little creek with smile and song on the way home.

Thanks a lot!

Hongwei, father.

Show More
Show Less
Ask Your Own Mental Health Question
Answered in 20 minutes by:
3/8/2012
Dr-A-Greene
Dr-A-Greene, Psychologist
Category: Mental Health
Satisfied Customers: 309
Experience: Clinical and Forensic Psychologist
Verified
Dr-A-Greene :

First off, you have done nothing wrong. This behavior happens all the time in well-adjusted, happy children. The trick might be just to find out why you think it started. Did anything change recently in her environment?

Dr-A-Greene
Dr-A-Greene, Psychologist
Category: Mental Health
Satisfied Customers: 309
Experience: Clinical and Forensic Psychologist
Verified
Dr-A-Greene and 87 other Mental Health Specialists are ready to help you
Ask your own question now

The reason I ask is because selective mutism is an anxiety disorder that usually manifests after something has triggered it (e.g. beginning school, etc...) Generally speaking it would be beneficial to involve a therapist to help alleviate the anxiety and they will assist you in coming up with a plan for the daycare/school to implement. Other suggestions: when she won't talk, don't get angry - remain calm; don't enable the mutism, set expectations that she will "use her words"; routine and structure help with anxiety in children, so if she isn't on a schedule already, implementing one may help.

Ask Your Own Mental Health Question
Customer reply replied 5 years ago

We had an oversea travel in this Janaury. After we returned houston on Jan 19, 2012, her bahavior was further developed, e.g. use her hand to cover eyes when she enters the school - in my view, she starts to develop some fear or shyness in the daycare that she has been to with good ease. this bahevoir change may reflect her anxiety that you have described.

Please elaborate -1) "implement a schedule" 2) what kind of therapist can really help alleviate the anxiety locally in Houston, Texas. 3) what' kind anxiety she has - how we can get to know insider her.

Thanks!

Customer reply replied 5 years ago
will you provide answer on the additional information/question?

That's interesting. It could have been exacerbated by the travel a bit. Thank you for the extra information. For children with anxiety problems, a lack of a household routine can sometimes be rough. When travel or other unfamiliar events are interspersed, it can make problems worse. However, don't worry! This doesn't mean you shouldn't travel, it just means that implementing a set schedule (even while traveling) will be even more important.

1) Implementing a schedule starts with having a set time for events that occur around the house (if you don't do that already). Dinner, bathtime, bedtime, storytime, and wake-up time should be set so that she knows what to expect. Work daycare and therapy time into that schedule. The less she is surprised by events, the better. When you go on vacation, the same bathtime, bedtime, and storytime, etc should be continued, as possible.

2) There are many therapists in the Houston area - you are lucky to be close to so many services! Here are a few names: Michelle Puster, M.Ed.(###) ###-####ext. 351; Judith Norwood Andrews, Ph.D.(###) ###-#### or Matthew Whalen(###) ###-#### All of the aforementioned therapists specialize in working with children and test for anxiety/learning issues.

3) The type of anxiety exhibited by selective mutism is best characterized as a Social Anxiety, meaning that it isn't felt globally in all situations. It is an anxiety about being around/with unfamiliar people. It is expressed through one of the only things she has control over - her speech. In time she will learn to manage it in better ways and she will be able to tell you when she's scared.

PS - to reiterate: you did nothing wrong. Anxiety is something that is a character trait - one is generally born with a high-strung personality or a laid back one. Your child may just have a more high strung temperament. The benefits to this is that people with higher anxiety tend to be more organized, more motivated, and more productive once they learn to manage it.

Good luck to you and take care,

Dr. G.

Ask Your Own Mental Health Question
Customer reply replied 5 years ago

Just a little bit more backgroun: our oversea travel and schedule from Dec. 29 to Jan 17 in China has been a drama for her. We visited my family, particularly my father- her grandfather. He passed away on Jan 20th due to cancer - FYI.

- she has omitted 2-3 times on the bed in the night at three locations in China becuase we failed to control her diet , she then over ate some food, like chocalate, cracker, etc.

- she has poopooed once on the bed in the night, the shit spreaded to her body badly, which we have never seen before.

- She certainly lost her routine during this trip - we didn't pay close attention as I has paid most of my attention to my father at his late stage of cancer, has spent most of time with my dad in hospital.

Both she and my second baby Lucas have probably lost 2-3 pounds in this trip.

She probably has had a bad memory of the trip. Of course, there were some happy moments as well.

"It is n't felt globally in all situations" - can you explain this to me more?

Than you very much for your helpful tips, and recommendation on the specialist in Houston.

Best Regards,

Hongwei

Oh, I am so sorry to hear about your father. It must have been a very difficult time for you and for your children. I can completely understand how you wouldn't be able to keep up a routine with all that going on!

My guess is that the enuresis (wetting the bed) and encompresis (pooping the bed) were probably related to the stress of the trip and the change in diet. With her diet and environment back to normal, I would expect that she wouldn't be doing that anymore. If it continues, I would bring it up with the therapist too.

As far as the anxiety not being global, I meant that she probably feels her anxiety mostly in social situations that involve other adults (outside the immediate family) or school/daycare situations. If the problem really is selective mutism, as you suggested, she should return to normal when she's around just her close family (i.e. talking regularly). This is actually a good sign because that means that it isn't any sort of physical speech impairment or something like a stutter, which exhibits itself in nearly all situations.

I truly think that with a few modifications (like seeing a specialist and implementing a routine) she will be back to being a chatterbox in no time!

Again, I am sorry for your loss and I sincerely ***** ***** everything goes well for you and yours very soon.

Take care,

Dr. G.

Ask Your Own Mental Health Question
Customer reply replied 5 years ago
Good news is that the enuresis and encompresis doesn't happen to her again after we returned Houston. They also recovered their weight in 4-5 weeks. Thank you for your advice!

I'm so glad! It sounds like they're healthy and doing well then. Just a little anxiety. Great questions - I wish you the best of luck.

And, you're welcome!

Dr-A-Greene
Dr-A-Greene, Psychologist
Category: Mental Health
Satisfied Customers: 309
Experience: Clinical and Forensic Psychologist
Verified
Dr-A-Greene and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr-A-Greene Your Own Question
Dr-A-Greene
Dr-A-Greene
Dr-A-Greene, Psychologist
Category: Mental Health
Satisfied Customers: 309
309 Satisfied Customers
Experience: Clinical and Forensic Psychologist

Dr-A-Greene is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I'm a Bipolar 36 year-old male with severe anxiety and
I'm a Bipolar 36 year-old male with severe anxiety and depression. What is the best anxiety medicine I should be taken? I've taken Clonazepam for 8 years and it no longer helps. Would another drug lik… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,674 satisfied customers
I was diagnosed with social anxiety by my psychiatrist at 16
Hi Dr. Wilson, I was diagnosed with social anxiety by my psychiatrist at 16 years old. Fast forward 6 years, and I feel like I am still struggling. I am always nervous when it comes to social engageme… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I have anxiety and recently think it is playing tricks with
Second opinion] Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
My adult daughter is struggling tremendously with anxiety
My adult daughter is struggling tremendously with anxiety and depression. She is on prozac but it's not helping that much. What is the best way to treat depression and anxiety in your opinion. She doe… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
763 satisfied customers
I have anxiety and recently think it is playing tricks with
Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,674 satisfied customers
I've been taking Prozac and Buspar for some anxiety and
I've been taking Prozac and Buspar for some anxiety and depression. My therapist just added Abilify to help with some lingering depression. At first she was going to add Wellbutrin but decided on Abil… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
763 satisfied customers
I have issues with anxiety. I meet with a behavioral
I have issues with anxiety. I meet with a behavioral therapist and have practices to help with my anxiety, but I'm feeling super anxious with some current ongoing stress that may continue for the next… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
763 satisfied customers
Various diagnosis since 2010; generalized anxiety was the
Various diagnosis since 2010; generalized anxiety was the most popular. PTSD diagnosis in 2016 because of a loss of a child in 2009 as well as the end of my 10 year relationship in 2013. Possible re t… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
763 satisfied customers
Is this a paid service? History of depression and anxiety.
Past 8 months. Relationship problems make it worse.… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
OKMH124211 What is the vest way to prevent anxiety, gain
OKMH124211 What is the vest way to prevent anxiety, gain more self confidence and get rid of tmj syndrome-sometimes teeth grinding affects night into daytime as a bad habit?… read more
Linda D.
Linda D.
Master\u0027s Degree
791 satisfied customers
I feel stressed, I don't know if my stress levels are normal
Hello , I feel stressed , I don't know if my stress levels are normal or do I need to seek medical help … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
763 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
Can stress in the workplace cause indigestion, stomach upset
Can stress in the workplace cause indigestion, stomach upset and bloating? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
763 satisfied customers
I have a new job. It's highly stressful and I work hours
I have a new job. It's highly stressful and I work long hours sometimes 15 a day. I'm starting to have what I think are panic stacks. What do I do? … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
791 satisfied customers
I would like to know if it is possible for anxiety to cause
Hello,I would like to know if it is possible for anxiety to cause bladderproblems like urinary retention and bladder overactivity. Like if you fear it and you are constantly conscious regarding it, it… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x